Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ly Family Medicine Hicksville

Organization Family Medicine Physician · NPI 1336011485

Ly Family Medicine Hicksville provides Family Medicine Physician services in Hicksville, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

101 Jerusalem Ave
Hicksville, NY 11801-4951
Phone: (516) 681-0681
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1336011485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liyan Yao — Owner · (631) 882-1689
NPI enumeratedSeptember 18, 2025
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address36 Hilltop Dr, Syosset, NY 11791-2003

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